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The 2023 Medicare Advantage Plans in Rio Grande County PR.



2022 Rio Grande County Puerto Rico
Medicare Advantage Plans

There are 24 Medicare Advantage Plans available in Rio Grande County PR from 5 different health insurance providers. 17 of these Medicare Advantage plans offer additional gap coverage. The plan with the lowest out of pocket expense is $3250 and the highest out of pocket is $6700. Rio Grande County Puerto Rico residents can also pick from 24 Medicare Special Needs Plans. The best Medicare Advantage plan in Rio Grande County Puerto Rico received a 4.5 overall star rating from CMS and the lowest rated plan is 4.5 stars.



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Return to 2022 Medicare Advantage Plans in Puerto Rico

Sabana Grande County Medicare Advantage





Medicare Advantage Health Plans Without Drug Coverage

Plan Name ⇅ Premium Type MOOP Overall
Rating
Basic (HMO)
(H5774-003)

$0Local HMO *$3,400
MCS Classicare MediOnly (HMO)
(H5577-016)

$0Local HMO *$3,400





2022 Medicare Special Needs Plans in Rio Grande county Puerto Rico

Plan Name ⇅ Monthly
Premium
Part D
Deductible
 Gap  Special Needs
Type
Overall
Rating
Contigo Plus (HMO C-SNP) $0$0ManyChronic or Disabling Condition
Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP) $0$480.0No Gap CoverageDual-Eligible
Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP) $0$480.0No Gap CoverageDual-Eligible
Humana Gold Plus SNP-DE H4007-019 (HMO D-SNP) $0$480.0No Gap CoverageDual-Eligible
Humana Gold Plus SNP-DE H4007-022 (HMO D-SNP) $0$480.0No Gap CoverageDual-Eligible
MCS Classicare Platino @Home (HMO D-SNP) $0$480.0No Gap CoverageDual-Eligible
MCS Classicare Platino Ideal (HMO D-SNP) $0$480.0No Gap CoverageDual-Eligible
MCS Classicare Platino MasCa$h (HMO D-SNP) $0$480.0No Gap CoverageDual-Eligible
MCS Classicare Platino Progreso (HMO D-SNP) $0$480.0No Gap CoverageDual-Eligible
MCS Classicare Platino Recarga (HMO D-SNP) $0$480.0No Gap CoverageDual-Eligible
MCS Classicare Primero (HMO C-SNP) $0$0ManyChronic or Disabling Condition
MMM Bono Platino (HMO D-SNP) $0$480.0No Gap CoverageDual-Eligible
MMM Diamante Platino (HMO D-SNP) $0$480.0No Gap CoverageDual-Eligible
MMM Grande Platino (HMO D-SNP) $0$480.0No Gap CoverageDual-Eligible
MMM Integral (HMO C-SNP) $0$0SomeChronic or Disabling Condition
MMM Relax Platino (HMO D-SNP) $0$480.0No Gap CoverageDual-Eligible
MMM Supremo (HMO C-SNP) $0$0SomeChronic or Disabling Condition
MMM Valor Platino (HMO D-SNP) $0$480.0No Gap CoverageDual-Eligible
Platino Advance (HMO D-SNP) $0$480.0No Gap CoverageDual-Eligible
Platino Alcance (HMO D-SNP) $0$480.0No Gap CoverageDual-Eligible
Platino Blindao (HMO D-SNP) $0$480.0No Gap CoverageDual-Eligible
Platino Plus (HMO D-SNP) $0$480.0No Gap CoverageDual-Eligible
Platino Ultra (HMO D-SNP) $0$480.0No Gap CoverageDual-Eligible
PMC Premier Platino (HMO D-SNP) $0$480.0No Gap CoverageDual-Eligible



Plan Type Is the type of organization offering the Medicare Plan.

  • HMO - Health Maintenance Organization
  • PPO - Preferred Provider Organization
  • PDP - Prescription Drug Plan
  • SNP - Special Needs Plan
  • POS - Point of Service
  • PFFS - Private Fee For Service

Monthly Consolidated Premium (Includes Part C + D) Your premium may be lower depending on your eligibility for medical assistance. Call your provider for details.

Part D Total Premium: The Part D Total Premium is the sum of the Basic and Supplemental Premiums. Note: the Part D Total Premium is net of any Part A/B rebates applied to "buy down" the drug premium for Medicare Advantage; for some plans the total premium may be lower than the sum of the basic and supplemental premiums due to negative basic or supplemental premiums.

Benefit Type
  • (EA) Enhanced Alternative may offer additional gap coverage which is calculated as the percentage of generic formulary products with coverage above standard generic coverage gap cost-sharing benefit and/or the percentage of brand formulary products covered in addition to the coverage gap discount for applicable drugs.
  • (DS) Defined Standard Benefit
  • (BA) Basic Alternative
  • (AE) Actuarially Equivalent Standard

GAP
  • Many - Many Generics and Some Brands
  • Some - Some Generics and Few Brands

Maximum Out-of-Pocket (MOOP) limit on enrollee spending that includes costs for all in-network Part A and Part B Services. NOT Part D - prescription drugs. N/A is defined as Not Applicable



Source: CMS. Data as of September 1, 2021.
Plans are subject to change as contracts are finalized.
Includes 2022 approved contracts. Employer sponsored 800 series and plans under sanction are excluded. For 2022, enhanced alternative may offer additional cost sharing reductions in the gap on a sub-set of the formulary drugs, beyond the standard Part-D benefit.


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MedicareHelp.org is a privately-owned Non-governmental agency. The government website can be found at HealthCare.gov.

Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options. Enrollment depends on the plan’s contract renewal.

Every year, Medicare evaluates plans based on a 5-star rating system.